Blake, Elizabeth Winton

Blake, Elizabeth Winton is an sole proprietor health care provider with primary practice located at 915 Middle River Dr Suite 204, Fort Lauderdale FL 33304-3559. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Blake, Elizabeth Winton can be contacted via phone (954) 763-6557.

Contact Information

Primary practice address
915 Middle River Dr Suite 204 Fort Lauderdale FL 33304-3559
Phone: (954) 763-6557
Fax: (954) 561-8331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY4139 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN764412 Florida

Profile Details

NPI number 1326107426
LBN Legal business name Blake, Elizabeth Winton
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Nov 18th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326107426 NPPES
Florida Other 098581 VALUE OPTIONS
Florida Other 4278424 VALUE OPTIONS
Florida Other 299483 VALUE OPTIONS
Florida Other 73460 VALUE OPTIONS
Florida Other 084337 VALUE OPTIONS
Florida Other BLAKELIZ VALUE OPTIONS
Florida Other IPO41451 VALUE OPTIONS
Florida Other 6110620 VALUE OPTIONS

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